Right Heart Catheterization With Adenosine Infusion To Evaluate Vascular Responsiveness In Pulmonary Hypertension
Constants
Patient:
MRN:
Date of study:
Hgb
Gender
Male
Female
FIO2 in %
Age
Arterial pH
Height in Meters
PaO2
Weight in Kg
O2 Sat
BSA in m2
PaCO2
Variables
Baseline
Adenosine Infusion at 50 mcg/kg/min
Adenosine Infusion at 100 mcg/kg/min
Adenosine Infusion at 200 mcg/kg/min
Adenosine Infusion at 300 mcg/kg/min
Time*
Heart Rate*
Pressures
RA Mean*
RV*
PA*
PA mean*
PAW mean*
Femoral Artery*
FA mean*
Oxygen Content
IVC Sat %*
IVC O2 Content
SVC Sat %*
SVC O2 Content
RV Sat %*
RV O2 Content
PA Sat %*
PA O2 Content
FA Sat %*
FA O2 Content
Shunt Flow
Qp/Qs
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O2 Sat Step Up?
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Cardiac Output (Estimated Fick)
Est. Fick C.O.
Est. Fick C.I.
Cardiac Output (Thermodilution)
Thermo C.O.*
Thermo C.I.
Pulmonary Vascular Resistance
PVR Fick
PVR Thermo
PVR vs Baseline
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PVR (Wood)
Transpulmonary Δ
Impression:
Recommendation:
Abbreviations and symbols: * = Mandatory entry. (ALL constants are also mandatory entries.)
IVC = inferior vena cava; SVC = superior vena cava; RA = right atrium; RV = right ventricle; PA = pulmonary artery; PCW = pulmonary capillary wedge; FA = femoral artery; Est. = estimated; Thermo = thermodilution; PVR = pulmonary vascular resistance in dyne-sec/cm^5. "PVR vs Baseline" and "PVR (Wood)" are based on the thermodilution cardiac output. In this form, yellow rectangles are locked and cannot be altered. White rectangles are data entry cells and can be altered. Δ = Pressure gradient.
Calculator design and html transfer: John Coyle, M.D. 2010. All rights reserved.
Click here for the adenosine infusion protocol.
Click here for the adenosine stress test hemodynamics protocol.
Click here for
the
literature used in building this report form.
Click here for normal hemodynamic and oxygen values table
.